Diarrhoea With Metformin

pollyyat

Member
Messages
6
Type of diabetes
Type 2
Hi, can anyone please help? I am at my wits end. Been on Slow Release Metformin now for a few months after having terrible side effects on the other Metformin. My symptoms have not changed at all. I'm on 3 tablets per day which doctor says take all three at night but simply can't tolerate. Does it help if you take them at different times eg: morn, noon and night or is this not allowed. Had to stop taking all together on a recent holiday as just couldn't function. Now back on them but started on one tab for a week, just started on two but not coping very well. Doctor said next option is Gliclazide but I've heard it makes you put weight on. Any advice would be much appreciated. Thanks. Paula.
 

bulkbiker

BANNED
Messages
19,575
Type of diabetes
Type 2
Treatment type
Diet only
Do you measure your blood sugar levels regularly and if so what results are you seeing? I had similar reactions to metformin so just stopped taking it. After a radical diet overhaul I found I had no need of it. But I am a bit of an obsessive and would rather do most anything than take medication. Depends on the sort of person you are if this would work for you.
 

pollyyat

Member
Messages
6
Type of diabetes
Type 2
I've been doing them weekly and it's usually around 9 or 10. When I stopped Metformin it went up to 14 now testing most mornings.
 

pollyyat

Member
Messages
6
Type of diabetes
Type 2
I am confused as what would be best diet to follow. Diab nurse says little bit of everything but forum seems to favour low carb.
 

pollyyat

Member
Messages
6
Type of diabetes
Type 2
Normal varied healthy diet. Loads of salad and veg not much sugar. Mainly meat and veg, yoghurt. Brown bread.
 

bulkbiker

BANNED
Messages
19,575
Type of diabetes
Type 2
Treatment type
Diet only
Normal varied healthy diet. Loads of salad and veg not much sugar. Mainly meat and veg, yoghurt. Brown bread.
Well a lot of us (me included) follow a Low Carb Higher Fat diet. Take a look at the success stories section on the forum to see. I'm afraid that a lot of us have found our HCP's unhelpful in supporting our diet choice and many downright ignorant of it.
There is huge amount of information here and on www.dietdoctor.com about the Low Carb diet I'll tag @daisy1 for the intro message that will give you some background.
Personally I cut virtually all carbohydrate from my diet and achieved pretty good control quite quickly. Over time this has got even better. I am a firm advocate of this way of eating and there is growing scientific evidence that it and especially when combined with fasting (see Dr Jason Fung) can lead to not only much improved blood sugar control but may also put your Type 2 into some kind of remission.
As with all these things it is up to you. You are the one with Type 2 not your doctor or nurse.
But I would suggest giving Low Carb a try.
Have a read around here on the any forum threads and one back with any questions you may have. Someone will be along to answer. We've heard most of them before so don;t worry about sounding daft!
All the best
Mark
 

bulkbiker

BANNED
Messages
19,575
Type of diabetes
Type 2
Treatment type
Diet only
Oh yes you should probably test a lot more both before you eat and 1 and 2 hours after each meal to see the effect of what you have eaten on your blood glucose levels. Anything that causes a rise of more than 2 Mmol/l should be avoided in future.
 

daisy1

Legend
Messages
26,457
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Dislikes
Cruelty towards animals.
@pollyyat

Hello and welcome to the forum :) Here is the information we give to new members and I hope you will find it useful, and especially the advice about low carbs. Have a look at the Low Carb Program as it might help you. Ask more questions when you need to and someone will be able to help.


BASIC INFORMATION FOR NEW MEMBERS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 210,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

  • Reduce your carbohydrate intake
  • Choose ‘better’ carbohydrates
Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a free 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 8.5 mmol/l
Blood glucose ranges for type 1 diabetes (adults)
  • Before meals: 4 to 7 mmol/l
  • 2 hours after meals: under 9 mmol/l
Blood glucose ranges for type 1 diabetes (children)
  • Before meals: 4 to 8 mmol/l
  • 2 hours after meals: under 10 mmol/l
However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

  • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
  • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.